Abstract

HFPPV (ventilator rates 100-150/minute; I.E. ratio 1:2) was used in 4 infants of gestational ages 26-29 weeks, birth weight 700-1000 gms. Age at commencing HFPPV was 25-90 days. All were on mechanical ventilation with radiological and clinical broncho-pulmonary dysplasia. The Baby Bird ventilator was used. Duration of HFPPV 3-4 weeks.3 infants were successfully weaned off ventilators. The fourth infant who had mechanical ventilation discontinued had no evidence of pulmonary barotrauma on autopsy. HFPPV can be used with success in chronic ventilatory failure in neonates.

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